Health Populi

MARCH 11, 2021

health care, patient assistance programs, Medicare Advantage plans, and the bundling of proven high-value preventive services into the Affordable Care Act. In the case of Medicare Part D, the drug benefit, Chandra said, “If you’re sick enough to fall into the donut hole, you may have higher mortality.”

Health Policy 254

Health Policy Medicare Pharmaceuticals Life Science 254

Healthcare IT News - Telehealth

JANUARY 4, 2021

"I am proud to sign this legislation which promotes telehealth services that have become vital during this pandemic, expands access to high-quality, affordable care, takes steps to protect consumers from surprise medical bills, and preserves access to COVID-19 testing and treatment," said Baker in a statement. WHY IT MATTERS.

Telehealth 189

Telehealth Medical Billing Mental health Nursing 189

Healthcare IT Today

SEPTEMBER 24, 2023

Medicare Advantage costs are 12% lower than similar beneficiaries covered under fee-for-service Medicare, according to research from Inovalon and Harvard Medical School. Nearly three in four (72%) patients say affordability is the biggest challenge to paying larger healthcare bills , according to a survey from Cedar.

Medical Billing 100

Medical Billing EHR Medicare BioTech 100

Health Populi

FEBRUARY 4, 2024

Furthermore, health plan members now see themselves as medical bill payers, seeking value and consumer-level services for their health insurance premium investment. Patients and health plan members continue evolving into medical bill payers, with their homes and budgets baked into the concept.

Primary Care 227

Primary Care Medicare Medical Billing Public Health 227

Health Populi

JUNE 24, 2024

He called out that, “In recent years, however, medical bills became the most common collection item on credit reports. Looking forward even further out a decade to 2034, the U.S. This has been coined as a kind of “unwinding” of Medicaid’s continuous eligibility provisions.

Medical Billing 156

Medical Billing Medicare Patient Experience Public Health 156

Healthcare IT Today

FEBRUARY 23, 2023

Streamline the billing process The right RCM partner will help providers optimize revenue by creating faster, easier processes to identify insurance coverage. As Medicare Beneficiary Identifiers (MBIs) only relate to Medicare coverage, providers need tools that will go beyond MBIs and caps from payer searches.

RCM 141

RCM Medical Billing Patient Experience Medicare 141

Health Populi

AUGUST 11, 2019

“In an extreme example of angst over expensive medical bills , an elderly Washington couple who lived near the U.S.-Canadian Canadian border died in a murder-suicide this week after leaving notes that detailed concerns about paying for medical care,” USA Today reported on August 10, 2019. million all-in.

Medical Billing 227

Medical Billing Leadership Medicare 227

Health Populi

AUGUST 12, 2024

Note a couple of key assumptions: again that there are no long-term care expenses in this $165,000 — and that this calculation assumes the retiree would enroll in Traditional Medicare (not Medicare Advantage). As we continue to educate our patients, our families, and indeed ourselves (if you live in the U.S.),

Medicare 177

Medicare Mental health Medical Billing Health Policy 177

Health Populi

JUNE 23, 2022

An hour after the Morning Consult session, I brainstormed the topic of consumers-as-payers of medical bills and prescription drugs with GoodRx strategy leaders. billion savings that Medicare Part D could accrue if the program bought generic drugs at the prices offered through the Mark Cuban Cost Plus Drug Company.

Medical Billing 288

Medical Billing Medicare Pharmaceuticals 288

Telebehavioral Health Institute

JUNE 21, 2023

million for medical billing fraud from Medicare. The indictment alleges that the couple conspired with a social worker to submit false claims to Medicare, falsely stating that residents had received individual psychotherapy sessions lasting one hour. Medicare fraud, in particular, increases healthcare costs for everyone.

Medical Billing 40

Medical Billing Telehealth Medicare HIPAA 40

Health Populi

FEBRUARY 27, 2024

In addition to highlighting the Patient’s Bill of Rights, NABIP’s keynotes and general sessions will speak to similar topics being brainstormed at VIVE this week — including mental health, maternal health, pharmacy and prescription drugs (pricing, PBMs), population health, and Medicare and Medicaid innovations.

HIPAA 354

HIPAA Public Health Telehealth Mental health 354

Health Populi

OCTOBER 28, 2019

84% of Americans told the Foundation that they were concerned about how much health care costs will affect them in the future, with 42% of patients saying they couldn’t afford to pay over $500 for an unexpected medical bill. Hospital costs contribute to rising medical costs to 49% of health consumers.

Pharmaceuticals 136

Pharmaceuticals Medical Billing Medicare Mental health 136

Health Populi

JUNE 6, 2023

pre-care cost estimates that are accurate (personalized based on their own health insurance plans), payment plans for paying medical bills over time, digital payment options (think: Venmo meets medical bills), a multi-purpose portal, and mobile access for both administrative tasks and care — that is, virtual care/telehealth.

Medical Billing 156

Medical Billing Telehealth Digital Health Medicare 156

Health Populi

OCTOBER 28, 2019

In addition to paying for “my” medical bills, most people in the U.S. also say that income inequality and inadequate social services significantly contribute to high medical spending for every health citizen in the nation. This year’s poll was conducted in September 2019 and included input from 2,001 U.S.

Medical Billing 136

Medical Billing Medicare Mental health Public Health 136

DrKumo Remote Patient Monitoring

FEBRUARY 3, 2025

By unbundling key billing codes, introducing Advanced Primary Care Management (APCM) services, and refining telehealth policies, CMS enables these facilities to modernize care delivery, improve patient outcomes, and streamline billing practices. G0556 : For patients with one chronic condition.

Medical Billing 52

Medical Billing Primary Care Telehealth Medicare 52

Health Populi

MARCH 26, 2020

” These factors come out of the 2019 Medicare Trustees Report and include but aren’t limited to tax policy, the state of insurance marketplaces, and employer-sponsored health insurance assumptions. Others of us who need to are having trouble accessing our health records.

Public Health 194

Public Health Medical Billing Medicare Health Information 194

Health Populi

SEPTEMBER 27, 2023

healthcare spending, with curves moving up and to the right, and the Medicare Hospital Insurance Trust Fund moving into the opposite direction toward insolvency by 2033. adults saying inflation has made it harder to pay medical bills.

Primary Care 250

Primary Care Medical Billing Medicare Patient Experience 250

Health Populi

JANUARY 18, 2019

On the positive side of transparency, the Centers for Medicare and Medicaid Services mandated that health care providers must post prices online, the requirement discussed here on CMS’s website. As the Harvard Chan-POLITICO study points out, prescription drug costs are top-of-mind for health consumers in America.

BioTech 166

BioTech Medicare Medical Billing Patient Experience 166

BHM Healthcare Solutions

MARCH 5, 2019

Editor’s Note: Medicare Advantage organizations (MAOs) continue to do a poor job of maintaining accurate provider directories—and it’s landing some in hot water with the federal government. Seniors continue to be overwhelmingly satisfied with their Medicare supplemental insurance coverage.

Medicare 40

Medicare Medical Billing 40

Health Populi

JUNE 26, 2023

Note that one-third of people enrolled in Medicare or employer-sponsored insurance (ESI) self-rationed care due to cost in the past year. The top reason people in the U.S.

Medical Billing 156

Medical Billing Mental health Patient Experience Medicare 156

Healthcare IT Today

DECEMBER 22, 2023

Wave HDC offers several insurance “curators” including Coordination of Benefits, Eligibility, and Medicare Beneficiary Identifiers, and serves hospitals, laboratories, billing companies, and physician groups.

Medical Billing 126

Medical Billing Medicare healthcare technology Healthcare IT 126

Henry Kotula

APRIL 24, 2018

Some 86 percent of those surveyed said they’re covered either through their employer, have insurance they purchased directly, or through government programs like Medicare and Medicaid. And 53 percent received a bill that was higher than they expected.

Medical Billing 32

Medical Billing Medical Technology Medicare Health Policy 32

Healthcare IT Today

JUNE 29, 2023

However, ASC billing practices must be followed to ensure proper reimbursement and regulatory compliance. Medicare Certification ASCs must sign a contract with Medicare and meet its Conditions for Coverage (CFC) to be paid. ASCs must also meet Medicare’s Conditions for Coverage.

Medicare 52

Medicare Medical Billing HIPAA Medical Billing Services 52

Healthcare IT Today

OCTOBER 23, 2023

For example, as outpatient services such as infusions outpace projections , and as the Centers for Medicare & Medicaid Services open the door to more outpatient procedures by moving 11 procedures off its “inpatient only” list, ambulatory providers must have the financial strength to make the investments needed to support growth.

RCM 125

RCM Patient Experience Medical Billing Medicare 125

Healthcare IT Today

AUGUST 6, 2023

Partnerships Fintech company Cedar is working with Google Cloud to build AI-powered tools to hep patients understand medical bills. Chicago-based RUSH University System for Health chose Cadence for remote monitoring and virtual care for Medicare and Medicaid patients with chronic conditions.

EHR 75

EHR Interoperability RCM HIE 75

DrKumo Remote Patient Monitoring

JANUARY 26, 2023

Properly utilizing COPD codes can help healthcare providers (HCPs) with medical billing and coding, leading to accurate claim submission and reimbursement for their services. Therefore, it is important for HCPs to use these codes correctly when coding their medical services. Tobacco dependence (code: F17.2)

Medical Billing 52

Medical Billing Medicare 52

DrKumo Remote Patient Monitoring

OCTOBER 16, 2024

The code can be billed monthly, as long as the chronic care management services meet the criteria outlined by Medicare. Complex CCM services, which typically require more time and resources, also have specific billing codes, allowing providers to receive reimbursement for more intensive care coordination efforts.

EHR 52

EHR Medicare Medical Billing Primary Care 52

GlobalMed

OCTOBER 7, 2019

at least, we now expect that extensive medical treatment – whether that’s chemotherapy, ongoing dialysis visits or surgery to repair a broken femur – may involve significant medical bills. Hospital stays, outpatient visits, tests and medications can all add up, even when patients have health insurance. In the U.S.

Medical Billing 40

Medical Billing Telemedicine Mental health Medicare 40

Henry Kotula

JUNE 21, 2020

While the survey didn’t ask people why they were putting off care, there is ample evidence that medical bills can be a powerful deterrent. “We A pharmacist helped, but Mr. Chapman no longer has insurance, and is not sure what he will do until he is eligible for Medicare later this year.

Medical Billing 41

Medical Billing Medicare Telemedicine Primary Care 41

Healthcare IT Today

SEPTEMBER 19, 2023

I would continue to advance CMS’ directive that by 2030 all Medicare and the bulk of Medicaid beneficiaries be in care engagements governed under a value-based contract.

Healthcare IT 139

Healthcare IT Interoperability HIPAA Nursing 139

DrKumo Remote Patient Monitoring

APRIL 24, 2024

” In the dynamic landscape of modern healthcare, staying abreast of the latest developments in medical billing and coding is paramount for healthcare providers seeking to optimize patient care delivery and revenue generation. Welcome to our comprehensive guide to “What Is CPT Code 99457.”

Medicare 40

Medicare Medical Billing EHR Telehealth 40

TheraNest

AUGUST 20, 2018

CCHPCA State Laws and Reimbursement Policies and their State Telehealth Laws and Reimbursement Policies PDF (April 2017) – This resource also you to stay up to date on all Telehealth laws, policies, regulations, and Medicare/Medicaid programs state by state. Understanding Telehealth Billing. Marketing Your Telehealth Service.

Telehealth 75

Telehealth Mental health Private practice Telemedicine 75

Chilmark Research

SEPTEMBER 26, 2014

Medicare’s Pioneer program down to 19 ACOs after three more exit. After Surgery, Surprise $117,000 Medical Bill From Doctor He Didn’t Know. And plenty of other great reading too. Enjoy the articles and have a great weekend! Melanie Davis for Modern Healthcare. ” – Brian.

eHealth 60

eHealth Private practice EHR Medical Billing 60

Henry Kotula

AUGUST 28, 2023

Americans today pay twice as much for the same medications as people in Europe largely because of Congressional legislation passed in 2003. Now, under provisions of the new Inflation Reduction Act , the government will be able to negotiate the prices of 10 widely prescribed medications based on how much Medicare’s Part D program spends.

Mental health 41

Mental health Medicare Medical Billing Telemedicine 41

Lloyd Price

JUNE 8, 2019

In April, at Fortune’s Brainstorm Health conference in San Diego, Bruce Broussard, CEO of health insurer Humana, said he believes technology will help patients receive help during medical crises, citing the benefits of home monitoring and the ability of doctors’ visits to be conducted by video conference.

Telemedicine 46

Telemedicine Medical Billing Telehealth Nursing 46

Telebehavioral Health Institute

JUNE 3, 2023

However, they are only covered entities if they transmit information electronically concerning a transaction for which HHS has adopted a standard, such as billing Health Plans. Insurance companies, HMOs, company health plans, and government programs like Medicare and Medicaid Health Care Clearinghouses.

HIPAA 52

HIPAA Health Information Health Data Medical Billing 52

Health Populi

DECEMBER 9, 2021

Both employees accessing employer-sponsored health care via the private sector and commercial insurance, as well as health citizens covered by public sector plans Medicare and Medicaid had concerns about medical bills. A little kindness goes a long way indeed.”

Medical Billing 194

Medical Billing Primary Care Medicare Patient Experience 194